MEDICARE: SOMMER T HENRY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC010559	GA

General Provider Information

NPI Number	:	1366082919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOMMER T HENRY LPC

Provider Business Mailing Address
First Line	:	2158 CUMBERLAND PKWY SE APT 10301
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-4576
Country	:	US
Telephone Number	:	585-747-4837
Fax Number	:

Provider Business Practice Location Address
First Line	:	2158 CUMBERLAND PKWY SE APT 10301
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-4576
Country	:	US
Telephone Number	:	585-747-4837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2020
Last Update Date	:	08/21/2022

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Directions to “ SOMMER T HENRY LPC” Practice Location

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